Production or Potential Test

Instructions on Back
OKLAHOMA CORPORATION COMMISSION
Form 1029A
Oil & Gas Conservation Division
Rev. 2010
Category (Check One)
Post Office Box 52000-2000
Initial
Oklahoma City, Oklahoma 73152-2000
Annual
Retest
Recompletion
OAC 165:10-13-3
Allocated Oil Well (field rules)
Unallocated per well (spaced)
Unallocated per lease (unspaced)
Enhanced Recovery Unit Order No.
Horizontal Order No.
Discovery Well Order No.
Test
24 Hr. Prod.
Gravity
Gas-Oil Ratio
Date
Time
Load oil
amount
(A) Pipe Tap
(B) Orifice Tester
(C) Size Tester
Oil
Gas
Water
Bbls
Bbls
Present
Initial
Start
End
County
Bottom Location within Section
Sec.
Twp.
Rge.
Surface Location within Section
Sec.
Twp.
Please type or print using black ink.
Fax Number
Zip
Address
Operator Number
Phone Number
Operator
Production Unit No.
Well Name & Number
State
City
API Number
Rge.
County
Pool Name and Number
yes
no
Location Exception Order Number
Differential (A)
Unit Acre Size
yes
no
bbls
Spacing Order No.
Size
Increased Density Order Number
Choke size
Size Plate (A,C)
Gas Meter Type
Size Run (A)
Commingling Order Number
Multiple Zone Completion Order Number
Horizontal
Perfs
Producing formation(s)
Date of 1st Production
Number of wells on lease (list on reverse)
Is production metered together?
Oil Purchaser
Gas Measurer
OTC Number
OTC Number
feet
Feet of Lateral
Tubing size
Casing size
Horizontal Component
Pressure (lbs, H2O, Hg) (B,C)
(over)
Production or Potential Test
cu. ft.
True Vertical Depth
24-H. Coeff (B,C)UNALLOCATED PER LEASE and ENHANCED RECOVERY UNIT well list:
ATTACH ADDITIONAL PAGE IF NECESSARY.
TOTAL 24-HR LEASE POTENTIAL
I declare that I have knowledge of the contents of this report with the date and facts stated herein to be true, correct, and complete to the best of my
knowledge and belief.
Signature of Operator's Representative
Name & Title (Typed or Printed)
Signature of Corporation Commission Representative
Name & Title (Typed or Printed)
Signature of DISCOVERY TEST OFFSET OPERATOR
Company Name
INSTRUCTIONS
1
Use a separate form for each well unless testing an unallocated lease or EOR unit.
2
Testing time shall be not less than 6 hours or more than 24 hours.
3
Test shall be submitted within 30 days after completion. No allowable shall be assigned to the well until this form has been accepted by the division.
4
Effective date of test is the completion date; late-filed tests are effective the first day following the month the test is accepted by the division; no allowable
shall be assigned to the well until the Form 1002A and logs have been accepted by the division.
5
Allowable shall be the rate indicated on the Allocated or Discovery Well Allowables Tables, whichever is appropriate, or by special field rules.
6
Discovery initial tests must be witnessed by a representative of any offset operator in the pool and a representative of the division, unless waived.
7
Operator chooses between a lease or well allowable if the formation is unspaced. A lease allowable is the shallowest 10-acre allowable from the allowable
table for each well; a well allowable uses 10-acre spacing from the allowable table.
8
Falsification of reports is subject to penalty, O.S.L. 1933.
API NO.
WELL NAME and NUMBER
LOCATION
Section-Township-Range
FORMATION
NAME
DATE OF 1st
PRODUCTION
24-HR POTENTIAL
OIL (BBLS)
GAS (MCF)

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Instructions on Back
OKLAHOMA CORPORATION COMMISSION
Form 1029A
Oil & Gas Conservation Division
Rev. 2010
Category (Check One)
Post Office Box 52000-2000
Initial
Oklahoma City, Oklahoma 73152-2000
Annual
Retest
Recompletion
OAC 165:10-13-3
Allocated Oil Well (field rules)
Unallocated per well (spaced)
Unallocated per lease (unspaced)
Enhanced Recovery Unit Order No.
Horizontal Order No.
Discovery Well Order No.
Test
24 Hr. Prod.
Gravity
Gas-Oil Ratio
Date
Time
Load oil
amount
(A) Pipe Tap
(B) Orifice Tester
(C) Size Tester
Oil
Gas
Water
Bbls
Bbls
Present
Initial
Start
End
County
Bottom Location within Section
Sec.
Twp.
Rge.
Surface Location within Section
Sec.
Twp.
Please type or print using black ink.
Fax Number
Zip
Address
Operator Number
Phone Number
Operator
Production Unit No.
Well Name & Number
State
City
API Number
Rge.
County
Pool Name and Number
yes
no
Location Exception Order Number
Differential (A)
Unit Acre Size
yes
no
bbls
Spacing Order No.
Size
Increased Density Order Number
Choke size
Size Plate (A,C)
Gas Meter Type
Size Run (A)
Commingling Order Number
Multiple Zone Completion Order Number
Horizontal
Perfs
Producing formation(s)
Date of 1st Production
Number of wells on lease (list on reverse)
Is production metered together?
Oil Purchaser
Gas Measurer
OTC Number
OTC Number
feet
Feet of Lateral
Tubing size
Casing size
Horizontal Component
Pressure (lbs, H2O, Hg) (B,C)
(over)
Production or Potential Test
cu. ft.
True Vertical Depth
24-H. Coeff (B,C)UNALLOCATED PER LEASE and ENHANCED RECOVERY UNIT well list:
ATTACH ADDITIONAL PAGE IF NECESSARY.
TOTAL 24-HR LEASE POTENTIAL
I declare that I have knowledge of the contents of this report with the date and facts stated herein to be true, correct, and complete to the best of my
knowledge and belief.
Signature of Operator's Representative
Name & Title (Typed or Printed)
Signature of Corporation Commission Representative
Name & Title (Typed or Printed)
Signature of DISCOVERY TEST OFFSET OPERATOR
Company Name
INSTRUCTIONS
1
Use a separate form for each well unless testing an unallocated lease or EOR unit.
2
Testing time shall be not less than 6 hours or more than 24 hours.
3
Test shall be submitted within 30 days after completion. No allowable shall be assigned to the well until this form has been accepted by the division.
4
Effective date of test is the completion date; late-filed tests are effective the first day following the month the test is accepted by the division; no allowable
shall be assigned to the well until the Form 1002A and logs have been accepted by the division.
5
Allowable shall be the rate indicated on the Allocated or Discovery Well Allowables Tables, whichever is appropriate, or by special field rules.
6
Discovery initial tests must be witnessed by a representative of any offset operator in the pool and a representative of the division, unless waived.
7
Operator chooses between a lease or well allowable if the formation is unspaced. A lease allowable is the shallowest 10-acre allowable from the allowable
table for each well; a well allowable uses 10-acre spacing from the allowable table.
8
Falsification of reports is subject to penalty, O.S.L. 1933.
API NO.
WELL NAME and NUMBER
LOCATION
Section-Township-Range
FORMATION
NAME
DATE OF 1st
PRODUCTION
24-HR POTENTIAL
OIL (BBLS)
GAS (MCF)